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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(03): 421-422
DOI: 10.4103/ijmpo.ijmpo_258_18
Practitioner Section

Endobronchial Lesion and Pericardial Extension of Pediatric Hodgkin Lymphoma: A Rare Concomitant Presentation

J T Srikanta
Institute of Pediatric Interventional Pulmonology and Sleep Medicine, Apollo Hospitals, Bengaluru, Karnataka
,
K M Chandan Kumar
Institute of Pediatric Interventional Pulmonology and Sleep Medicine, Apollo Hospitals, Bengaluru, Karnataka
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Abstract

Concomitant endobronchial lesion and pericardial effusion/extension in Hodgkin lymphoma (HL) are extremely rare and can be clinically confused with disseminated tuberculosis or aggressive non-HL changing both management and prognosis. We present a 15-year-old adolescent with complaints of fever, weight loss, and acute onset of cough, chest pain, and breathing difficulty. Computed tomography of the thorax showed moderate-to-significant pericardial effusion/extension with significant mediastinal adenopathy. A bronchoscopy demonstrated a well-defined polypoidal mass lesion in the right upper lobe bronchus. Endobronchial biopsy of the lesion with endobronchial ultrasound/transbronchial needle aspiration of mediastinal lymphadenopathy categorically diagnosed with classic HL.

Keywords

Endobronchial biopsy - endobronchial lesion - endobronchial ultrasound/transbronchial needle aspiration - Hodgkin lymphoma - mediastinal lymphadenopathy


Publication History

Received: 04 December 2018

Accepted: 28 February 2019

Article published online:
28 June 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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